| NPI | 1629359757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL EVAN KATZ Optometrist/Owner 760-951-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA CA9940T) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2015-08-07 |